对阿尔茨海默病动态预测的思考:纵向结果和事件时间数据建模的进展

IF 3.9 3区 医学 Q1 HEALTH CARE SCIENCES & SERVICES
Durong Chen, Meiling Zhang, Hongjuan Han, Yalu Wen, Hongmei Yu
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引用次数: 0

摘要

背景:健康结果的个性化预测支持临床医学和决策。我们的主要目标是对动态预测阿尔茨海默病(AD)的方法进行全面的调查,包括传统的统计方法和深度学习技术。方法:文章来源于PubMed、Embase和Web of Science数据库,使用AD动态预测相关关键词。制定了一套标准来确定纳入的研究。提取模型构建所需的相关信息。结果:我们从18项研究中确定了四种动态预测方法框架,分别是两阶段模型(n = 3)、联合模型(n = 11)、里程碑模型(n = 2)和深度学习(n = 2)。我们报道并总结了模型的具体构建及其应用。结论:每个框架都具有独特的原则和相应的好处。动态预测模型在实时预测个体患者预后方面具有优势,超越了传统的仅限基线预测模型的局限性。未来的工作应该考虑各种数据类型、复杂的纵向数据、缺失数据、假设违反、生存结果和模型的可解释性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Reflections on dynamic prediction of Alzheimer's disease: advancements in modeling longitudinal outcomes and time-to-event data.

Background: Individualized prediction of health outcomes supports clinical medicine and decision making. Our primary objective was to offer a comprehensive survey of methods for the dynamic prediction of Alzheimer's disease (AD), encompassing both conventional statistical methods and deep learning techniques.

Methods: Articles were sourced from PubMed, Embase and Web of Science databases using keywords related to dynamic prediction of AD. A set of criteria was developed to identify included studies. The correlation information for the construction of models was extracted.

Results: We identified four methodological frameworks for dynamic prediction from 18 studies with two-stage model (n = 3), joint model (n = 11), landmark model (n = 2) and deep learning (n = 2). We reported and summarized the specific construction of models and their applications.

Conclusions: Each framework possesses distinctive principles and attendant benefits. The dynamic prediction models excel in predicting the prognosis of individual patients in a real-time manner, surpassing the limitations of traditional baseline-only prediction models. Future work should consider various data types, complex longitudinal data, missing data, assumption violations, survival outcomes, and interpretability of models.

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来源期刊
BMC Medical Research Methodology
BMC Medical Research Methodology 医学-卫生保健
CiteScore
6.50
自引率
2.50%
发文量
298
审稿时长
3-8 weeks
期刊介绍: BMC Medical Research Methodology is an open access journal publishing original peer-reviewed research articles in methodological approaches to healthcare research. Articles on the methodology of epidemiological research, clinical trials and meta-analysis/systematic review are particularly encouraged, as are empirical studies of the associations between choice of methodology and study outcomes. BMC Medical Research Methodology does not aim to publish articles describing scientific methods or techniques: these should be directed to the BMC journal covering the relevant biomedical subject area.
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